Chernov, Scotadam Judah
Chernov, Scotadam Judah is an sole proprietor health care provider with primary practice located at 322 Main St , Gloucester MA 01930-3011. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Chernov, Scotadam Judah can be contacted via phone (978) 281-0049.Contact Information
Primary practice address
322 Main St
Gloucester MA 01930-3011
Phone: (978) 281-0049
Fax: (978) 282-1537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2075 | Massachusetts |
| Chiropractic Providers / Chiropractor | 111N00000X | X0083881 | New York |
Profile Details
| NPI number | 1801908314 |
|---|---|
| LBN Legal business name | Chernov, Scotadam Judah |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 6th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801908314 | NPPES |
| Massachusetts | Other | 350084 | HARVARD PILGRIM |
| Massachusetts | Other | 765787 | HARVARD PILGRIM |
| Massachusetts | Other | Y39202 | HARVARD PILGRIM |
| Massachusetts | Other | Y36454 | HARVARD PILGRIM |
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